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Individual

TARA M HUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(781) 407-0998
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
085596
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
5651
CT

Other

Enumeration date
09/06/2013
Last updated
11/04/2014
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